Evidence map›Paper›PMID 33370132›Full record

Trial reportJournal of consulting and clinical psychology2020

Psychiatric outcomes following severe deprivation in early childhood: Follow-up of a randomized controlled trial at age 16.

Kathryn L Humphreys, Katherine L Guyon-Harris, Florin Tibu, Mark Wade, Charles A Nelson, Nathan A Fox, Charles H Zeanah

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Early Life Stress Impairs VTA Coordination of BLA Network and Behavioral States.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  4. Review
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  11. Children's Attention and Self-Regulatory Behavior Before and During the COVID-19 Pandemic.Journal of developmental and behavioral pediatrics : JDBP · 2022
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Kathryn L HumphreysDepartment of Psychology and Human Development, Vanderbilt University.ORCID 0000-0002-5715-6597
Katherine L Guyon-HarrisDepartment of Psychiatry and Behavioral Sciences, Tulane University School of Medicine.ORCID 0000-0001-5990-6892
Florin TibuStefan cel Mare University of Suceava.ORCID 0000-0003-0873-1097
Mark WadeDepartment of Applied Psychology and Human Development, University of Toronto.
Charles A NelsonDepartment of Pediatrics, Boston Children's Hospital/ Harvard Medical School.
Nathan A FoxDepartment of Human Development and Quantitative Methodology, University of Maryland, College Park.
Charles H ZeanahDepartment of Psychiatry and Behavioral Sciences, Tulane University School of Medicine.
Tulane University · USBoston Children's Hospital · USŞtefan cel Mare University of Suceava · ROUniversity of Maryland, College Park · USUniversity of Toronto · CAVanderbilt University · US

Funding

The Relation Between Early Psychosocial Deprivation and Mental Health at 12 YearsR01MH091363 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI FOX, NATHAN A, NELSON, CHARLES ALEXANDER · 2010 to 2024
$9.2M
ERA-Net NeuronJacobs FoundationJohn D. and Catherine T. MacArthur FoundationNIH HHSNIMH NIH HHS R01 MH091363
6 · The paper itself

Abstract

objectiveEarly psychosocial deprivation is associated with increased risk for psychopathology, yet few studies have examined outcomes in adolescents.

methodAt baseline (M age 22 months), 136 children from Bucharest, Romania, living in large institutions, were randomized into foster care (FCG) or to care as usual (CAUG). Caregivers completed psychiatric interviews regarding their children (52 FCG; 51 CAUG) at age 16 years (M = 16.67 years; SD = 0.78) to assess past year diagnoses and symptom counts. In addition, never-institutionalized community comparison children (n = 47) were included.

resultsEver-institutionalized children had higher rates of meeting criteria for any psychiatric disorder and higher symptom counts of internalizing, externalizing, attention-deficit/hyperactivity, and substance use disorders compared to never-institutionalized children (ps < .05). Using intent-to-treat analyses, we found that children in the CAUG had more than twice the rate of psychiatric disorders than children in the FCG (OR = 2.48, 95% CI [1.12, 5.48]). Furthermore, children in foster care who remained in their original placement did not significantly differ in their rates of psychiatric disorders compared to never-institutionalized children.

conclusionsThere are many ways children can be separated from parents, including placement into institutional care. The current findings indicate that such placements are associated with significant risks for psychopathology. Moreover, we provide causal evidence for the long-lasting positive effect of foster care in reducing the risk of psychopathology in adolescence, especially among those in stable placements. These results provide strong evidence that early and stable placements into quality foster care may mitigate risk for psychopathology following severe early psychosocial deprivation. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Indexed as

AdolescentChild, InstitutionalizedFemaleFollow-Up StudiesFoster Home CareHumansMaleMental DisordersPsychopathologyPsychosocial DeprivationRomania

Identifiers

PMID33370132
PMCPMC7909607
OpenAlexW3113867032

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.